CARDIAC NCLEX EXAM /NCLEX CARDIAC EXAM ACTUAL EXAM 300 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH RATIONALES
Acreage Reporting Date - (ANSWER)The deadline for providing the insurer with an acreage
report, which is used to determine the amount of coverage needed and the premium
charged for a particular crop. What are cognitive symptoms of psychotic disorders -
(ANSWER)-disordered thinkinFamotidine ( pepcid ) , Ranitidine, Cimetidine, Nizatidine -
(ANSWER)- Suppress SeWhich action should be perfA nurse is providing teaching to a
client who has peptic ulcer diseaThe student nurse is preparing a teaching plan for a
patient being discharged status post MI. What should the student include in the teaching
plan? (Mark all that apply.)
A. Need for increased fluid intake
B. Need for early resumption of prediagnosis activity
C. Need for careful monitoring for cardiac symptoms
D. Need for dietary modifications
E. Need for carefully regulated exercise - (ANSWER)C. Need for careful monitoring for
cardiac symptoms
D. Need for dietary modifications
E. Need for carefully regulated exercise
Dietary modifications, exercise, weight loss, and careful monitoring are important
strategies for managing three major cardiovascular risk factors: hyperlipidemia,
hypertension, and diabetes. There is no need to increase fluid intake and activity should
be slowly and deliberately increased
The nurse is caring for an 84-year-old man who has just returned from the OR after
inguinal hernia repair. The OR report indicates that the patient received large volumes of
IV fluids during surgery and the nurse recognizes that the patient is at risk for left-sided
heart failure. What signs and symptoms would indicate left-sided heart failure?
,A. Jugular vein distention
B. Bibasilar fine crackles
C. Right upper quadrant pain
D. Dependent edema - (ANSWER)B. Bibasilar fine crackles
Bibasilar fine crackles are a sign of alveolar fluid, a sequela of left ventricular fluid, or
pressure overload. Jugular vein distention, right upper quadrant pain (hepatomegaly),
and dependent edema are caused by right-sided heart failure, usually a chronic condition.
The nurse is reviewing a newly admitted patient's electronic health record, which notes a
history of orthopnea? What nursing action is most clearly indicated?
A. Avoid positioning the patient supine.
B. Limit the patient's activity level.
C. Teach the patient deep breathing and coughing exercises.
D. Administer supplemental oxygen at all times. - (ANSWER)A. Avoid positioning the
patient supine.
Orthopnea is defined as difficulty breathing while lying flat. This is a possible complication
of HF and, consequently, the nurse should avoid positioning the patient supine. Oxygen
supplementation may or may not be necessary and activity does not always need to be
curtailed. Deep breathing and coughing exercises do not directly address this symptom.
The nurse is caring for an adult patient with HF who is prescribed digoxin. When assessing
the patient for adverse effects, the nurse should assess for which of the following signs
and symptoms?
A. Numbness and tingling in the extremities
,B. Confusion and bradycardia
C. Uncontrolled diuresis and tachycardia
D. Chest pain and shortness of breath - (ANSWER)B. Confusion and bradycardia
A key concern associated with digitalis therapy is digitalis toxicity. Symptoms include
anorexia, nausea, visual disturbances, confusion, and bradycardia. The other listed signs
and symptoms are not characteristic of digitalis toxicity.
The ED nurse is caring for a patient with a suspected MI. What drug should the nurse
anticipate administering to this patient?
A. Warfarin
B. Oxycodone
C. Morphine
D. Acetaminophen - (ANSWER)C. Morphine
The patient with suspected MI is given aspirin, nitroglycerin, morphine, an IV beta-
blocker, and other medications, as indicated, while the diagnosis is being confirmed.
Tylenol, warfarin, and oxycodone are not typically used.
A patient is admitted to the critical care unit (CCU) with a diagnosis of cardiomyopathy.
When reviewing the patient's most recent laboratory results, the nurse should prioritize
assessment of which of the following?
A. Sodium
B. AST, ALT, and bilirubin
C. BUN
D. White blood cell differential - (ANSWER)A. Sodium
, Sodium is the major electrolyte involved with cardiomyopathy. Cardiomyopathy often
leads to heart failure which develops, in part, from fluid overload. Fluid overload is often
associated with elevated sodium levels. Consequently, sodium levels are followed more
closely than other important laboratory values, including BUN, leukocytes, and liver
function tests.
The nurse is caring for a patient admitted with unstable angina. The laboratory result for
the initial troponin I is elevated in this patient. The nurse should recognize what
implication of this assessment finding?
A. This result indicates muscle injury, but does not specify the source.
B. This is an accurate indicator of myocardial injury.
C. This is only an accurate indicator of myocardial damage when it reaches its peak in 24
hours.
D. Because the patient has a history of unstable angina, this is a poor indicator of
myocardial injury. - (ANSWER)B. This is an accurate indicator of myocardial injury.
Troponin I, which is specific to cardiac muscle, is elevated within hours after myocardial
injury. Even with a diagnosis of unstable angina, this is an accurate indicator of myocardial
injury.
The nurse is providing discharge education to a patient diagnosed with HF. What should
the nurse teach this patient to do to assess her fluid balance in the home setting?
A. Monitor her weight daily
B. Monitor her bowel movements
C. Monitor her blood pressure daily
D. Assess her radial pulses daily - (ANSWER)A. Monitor her weight daily
CORRECT DETAILED ANSWERS WITH RATIONALES
Acreage Reporting Date - (ANSWER)The deadline for providing the insurer with an acreage
report, which is used to determine the amount of coverage needed and the premium
charged for a particular crop. What are cognitive symptoms of psychotic disorders -
(ANSWER)-disordered thinkinFamotidine ( pepcid ) , Ranitidine, Cimetidine, Nizatidine -
(ANSWER)- Suppress SeWhich action should be perfA nurse is providing teaching to a
client who has peptic ulcer diseaThe student nurse is preparing a teaching plan for a
patient being discharged status post MI. What should the student include in the teaching
plan? (Mark all that apply.)
A. Need for increased fluid intake
B. Need for early resumption of prediagnosis activity
C. Need for careful monitoring for cardiac symptoms
D. Need for dietary modifications
E. Need for carefully regulated exercise - (ANSWER)C. Need for careful monitoring for
cardiac symptoms
D. Need for dietary modifications
E. Need for carefully regulated exercise
Dietary modifications, exercise, weight loss, and careful monitoring are important
strategies for managing three major cardiovascular risk factors: hyperlipidemia,
hypertension, and diabetes. There is no need to increase fluid intake and activity should
be slowly and deliberately increased
The nurse is caring for an 84-year-old man who has just returned from the OR after
inguinal hernia repair. The OR report indicates that the patient received large volumes of
IV fluids during surgery and the nurse recognizes that the patient is at risk for left-sided
heart failure. What signs and symptoms would indicate left-sided heart failure?
,A. Jugular vein distention
B. Bibasilar fine crackles
C. Right upper quadrant pain
D. Dependent edema - (ANSWER)B. Bibasilar fine crackles
Bibasilar fine crackles are a sign of alveolar fluid, a sequela of left ventricular fluid, or
pressure overload. Jugular vein distention, right upper quadrant pain (hepatomegaly),
and dependent edema are caused by right-sided heart failure, usually a chronic condition.
The nurse is reviewing a newly admitted patient's electronic health record, which notes a
history of orthopnea? What nursing action is most clearly indicated?
A. Avoid positioning the patient supine.
B. Limit the patient's activity level.
C. Teach the patient deep breathing and coughing exercises.
D. Administer supplemental oxygen at all times. - (ANSWER)A. Avoid positioning the
patient supine.
Orthopnea is defined as difficulty breathing while lying flat. This is a possible complication
of HF and, consequently, the nurse should avoid positioning the patient supine. Oxygen
supplementation may or may not be necessary and activity does not always need to be
curtailed. Deep breathing and coughing exercises do not directly address this symptom.
The nurse is caring for an adult patient with HF who is prescribed digoxin. When assessing
the patient for adverse effects, the nurse should assess for which of the following signs
and symptoms?
A. Numbness and tingling in the extremities
,B. Confusion and bradycardia
C. Uncontrolled diuresis and tachycardia
D. Chest pain and shortness of breath - (ANSWER)B. Confusion and bradycardia
A key concern associated with digitalis therapy is digitalis toxicity. Symptoms include
anorexia, nausea, visual disturbances, confusion, and bradycardia. The other listed signs
and symptoms are not characteristic of digitalis toxicity.
The ED nurse is caring for a patient with a suspected MI. What drug should the nurse
anticipate administering to this patient?
A. Warfarin
B. Oxycodone
C. Morphine
D. Acetaminophen - (ANSWER)C. Morphine
The patient with suspected MI is given aspirin, nitroglycerin, morphine, an IV beta-
blocker, and other medications, as indicated, while the diagnosis is being confirmed.
Tylenol, warfarin, and oxycodone are not typically used.
A patient is admitted to the critical care unit (CCU) with a diagnosis of cardiomyopathy.
When reviewing the patient's most recent laboratory results, the nurse should prioritize
assessment of which of the following?
A. Sodium
B. AST, ALT, and bilirubin
C. BUN
D. White blood cell differential - (ANSWER)A. Sodium
, Sodium is the major electrolyte involved with cardiomyopathy. Cardiomyopathy often
leads to heart failure which develops, in part, from fluid overload. Fluid overload is often
associated with elevated sodium levels. Consequently, sodium levels are followed more
closely than other important laboratory values, including BUN, leukocytes, and liver
function tests.
The nurse is caring for a patient admitted with unstable angina. The laboratory result for
the initial troponin I is elevated in this patient. The nurse should recognize what
implication of this assessment finding?
A. This result indicates muscle injury, but does not specify the source.
B. This is an accurate indicator of myocardial injury.
C. This is only an accurate indicator of myocardial damage when it reaches its peak in 24
hours.
D. Because the patient has a history of unstable angina, this is a poor indicator of
myocardial injury. - (ANSWER)B. This is an accurate indicator of myocardial injury.
Troponin I, which is specific to cardiac muscle, is elevated within hours after myocardial
injury. Even with a diagnosis of unstable angina, this is an accurate indicator of myocardial
injury.
The nurse is providing discharge education to a patient diagnosed with HF. What should
the nurse teach this patient to do to assess her fluid balance in the home setting?
A. Monitor her weight daily
B. Monitor her bowel movements
C. Monitor her blood pressure daily
D. Assess her radial pulses daily - (ANSWER)A. Monitor her weight daily
